Cascade Safety Audit

• Audited Department

• Audited Month

• Auditors Names

• Conducted on

  Date

• Instructions:
  1. Preparation - make sure you have your own PPE on including safety shoes, safety glasses, and hearing protection.
  2. Observe the area and employee(s). Find the team lead or safety committee member from the department, for their participation. Indicate conformance or non-conformance by check yes, no or NA. Every "no" response should have a note, picture, and maintenance work order if necessary.
  4. Greet the employees and explain that you are working to complete a safety audit in the area and thank them for any feedback they can provide.
  5. Review the hazard assessment and ensure that it is updated.
  6. Record employee feedback and observations to be recorded in the notes.
  7. Record nonconformances that you are unable to fix immediately. Record safety items that need assistance or maintenance.
  8. Notify team lead, manager, or HR if you see an immediate safety hazard.
  9. Thank the employees and team lead for their time and cooperation.
  10. Add any additional inspection items or questions asked in the notes section.

• Guidance:
  1. Fire Extinguisher Checl: How are they identified and inspected?
  2. Eye wash - how eye wash stations are identified, are they clean, operating correctly, and free of foul smells?
  3. Air Nozzles - pictures and why (30 psi limit) - health hazard of dead heading the nozzle.
  4. SDS - can they show you how to find it? Check one chemical to make sure it is present.
  5. Visual checks of machines for proper guarding and is guarding intact. Are there any pinch points?
  6. Hoses - Check for splits, dried out hose, etc.
  7. Straps fraying
  8. Electrical panels - unblocked in front and can they get to it?
  9. Tool use - hammers, improper tools, mushroomed stamp heads, etc.
  10. Box cutters - retractable blade. Are there any left open?
  11. Free standing racks - are they bolted down, overloaded, or have cross beams secured?
  12. Hoist inspection tag is signed off on.
  13. Safety Glasses - personal with side shields stamped with Z87?
  14. Secondary containers - is the chemical identified and label legible?
  15. Electrical issues - permanent extension cord, 3 prong plugs, or insulated wire, of GFCI.
  16. Material handling equipment - inspected, license available, inspection sheet completed.

Personal Protective Equipment (PPE)

• Are steel-toed safety shoes with metatarsal guards are being worn as required?<br>

  Yes

  No

  N/A

• Is eye protection (safety glasses/weld helmet/goggles) necessary for the job function being used as required?

  Yes

  No

  N/A

• Are ear plugs/muffs/OSHA Approved Ear Buds being used (excluding Depot)?

  Yes

  No

  N/A

• Is respiratory protection being used and stored as required?

  Yes

  No

  N/A

Ergonomics

• Is the area free from excessive lifting, awkward positions, excessive overhead reach and excessive bending and twisting?<br>

  Yes

  No

  N/A

Housekeeping

• Are carts and bins free from being overloaded?

  Yes

  No

  N/A

• Is emergency equipment (fire extinguishers, eye wash stations and spill stations) accessible, have signage, functioning, up to date on inspections, and ready for immediate use?

  Yes

  No

  N/A

• Are the eye wash stations functioning and clean?

  Yes

  No

  N/A

• Is all material stored without overhanging the racks?

  Yes

  No

  N/A

• Are all trash cans and hoppers empty or beneath the top?

  Yes

  No

  N/A

• Is the area free from any trip hazards?

  Yes

  No

  N/A

• Is the area free from any spills or slick spots?

  Yes

  No

  N/A

• Is the area open without any congestion? <br>

  Yes

  No

  N/A

• Are all secondary containers labelled and legible?

  Yes

  No

  N/A

• Is the area free from any permanent extension cords?

  Yes

  No

  N/A

• Are all tools not in use stored properly?

  Yes

  No

  N/A

• Are insides and tops of flammable paint cabinets free from other flammable materials (paper, plastic, cardboard)?

  Yes

  No

  N/A

Tools, equipment and machines

• Are ladders and platforms free from damage, equal in riser height and not slippery?

  Yes

  No

  N/A

• Is the area free from any loose or frayed air lines and hoses?<br>

  Yes

  No

  N/A

• Are lifting straps in good condition (If no, turn in to Tool Crib for replacement)?

  Yes

  No

  N/A

• Are all guards are secure and without damage?

  Yes

  No

  N/A

• Do all machines have proper LOTO instructions?

  Yes

  No

  N/A

• Are electrical wiring and boxes free from any damage or issues?

  Yes

  No

  N/A

• Are all electrical boxes accessible (3 feet)?

  Yes

  No

  N/A

• Is all material handling equipment in good working order?

  Yes

  No

  N/A

Forklift Operations

• Is the forklift driver wearing their seatbelt?

  Yes

  No

  N/A

• Does the forklift drivers use their horn at intersections?

  Yes

  No

  N/A

Questions for Employees

• Do you know your rally point for for fires and inclement weather?

  Yes

  No

  N/A

• Do you know where the nearest emergency exit is?

  Yes

  No

  N/A

• Do you know where the nearest fire extinguisher is?

  Yes

  No

  N/A

• Do you know where the nearest eye wash station is?

  Yes

  No

  N/A

• Do you know where the SDS is and how to use it?

  Yes

  No

  N/A

• Are all of your tools in good working condition?

  Yes

  No

  N/A

• Do you have your forklift license and is it valid? (Show)

  Yes

  No

  N/A

• Do you know where to find the accident/near miss forms?

  Yes

  No

  N/A

• Does your E-stop work and has it been tested?

  Yes

  No

  N/A

• Do you know where the nearest pull station for evacuation is?

  Yes

  No

  N/A

• Do you know where the button for inclement weather is?

  Yes

  No

  N/A

• Do you know where the hazard assessment is and if it is updated?

  Yes

  No

  N/A

• Do you know where the closest spill control station is?

  Yes

  No

  N/A

Questions for Auditors

• Have notes been made for all questions answered with a "no" response? <br>

  Yes

  No

  N/A

• When necessary, have maintenance work orders been submitted?

  Yes

  No

  N/A